阴道分娩后第一天会阴疼痛的相关因素:一项针对初产妇的横断面研究。

IF 0.9 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Nagoya Journal of Medical Science Pub Date : 2024-02-01 DOI:10.18999/nagjms.86.1.52
Akiko Yamada, Yuki Takahashi, Masami Hirose, Yurika Usami, Saho Maruya, Koji Tamakoshi
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引用次数: 0

摘要

许多妇女在阴道分娩后会因会阴创伤而出现产后会阴疼痛。产后会阴疼痛会随着时间的推移而减轻,但会阴创伤和疼痛会对产妇的生活质量和照顾孩子的能力产生负面影响。会阴创伤的程度和外阴切开术的器械分娩与会阴疼痛有关。然而,迄今为止还没有研究探讨过与产后会阴疼痛相关的因素,包括孕期体重变化和分娩过程。我们旨在阐明与日本初产妇产后第一天阴道分娩后会阴疼痛相关的产科因素。这项横断面研究在日本的五家妇产医院进行,共纳入了 142 名经阴道分娩足月单胎的初产妇。采用视觉模拟量表对产后第一天的会阴疼痛进行了评估。最终分析包括 92 名参与者,平均年龄(30.3 ± 4.6)岁。视觉模拟量表评分的中位数为 54.0 mm。多元线性回归分析表明,妊娠体重增加超过日本推荐范围与产后第一天会阴疼痛呈显著正相关,与产妇年龄、外阴切开术、止痛药使用和新生儿出生体重无关。这一发现为根据孕前体重指数在推荐范围内增加妊娠体重以减少产后第一天会阴疼痛提供了更多证据。
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Factors associated with perineal pain on the first postnatal day after vaginal delivery: a cross-sectional study of primiparous women.

Many women report postpartum perineal pain due to perineal trauma after vaginal delivery. Perineal pain after giving birth declines over time; however, perineal trauma and pain negatively impact on the women's quality of life and their ability to care for their children. The degree of perineal trauma and instrument delivery with episiotomy are associated with perineal pain. Nevertheless, no studies have examined factors related to postpartum perineal pain, including weight changes during pregnancy as well as the course of delivery so far. We aimed to elucidate obstetric factors associated with perineal pain after vaginal delivery on the first postnatal day in Japanese primiparous women. A cross-sectional study conducted in five maternity hospitals in Japan included 142 primiparous women who vaginally delivered full-term and singleton infants. Perineal pain on the first postnatal day was evaluated using a visual analog scale. The final analysis included 92 participants with a mean age of 30.3 ± 4.6 years. The median visual analog scale score was 54.0 mm. Multiple linear regression analysis demonstrated that gestational weight gain above the recommended Japanese range was positively and significantly associated with perineal pain on the first postnatal day, independent of maternal age, episiotomy, painkiller use, and neonatal birth weight. This finding may provide additional evidence regarding gestational weight gain within the recommended range based on the pre-pregnancy body mass index to reduce perineal pain on the first postnatal day.

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来源期刊
Nagoya Journal of Medical Science
Nagoya Journal of Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.30
自引率
0.00%
发文量
65
审稿时长
>12 weeks
期刊介绍: The Journal publishes original papers in the areas of medical science and its related fields. Reviews, symposium reports, short communications, notes, case reports, hypothesis papers, medical image at a glance, video and announcements are also accepted. Manuscripts should be in English. It is recommended that an English check of the manuscript by a competent and knowledgeable native speaker be completed before submission.
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